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CODMAN SQUARE HEALTH CENTER INC
NPI 1396808309
Clinic/Center - Community Health in Dorchester Center, MA

Active since December 19, 2006
637 WASHINGTON ST, DORCHESTER CENTER, MA 02124(617) 825-9660(617) 288-7898 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2026, Dec 16, 2025, Feb 7, 2023 and 1 more (4 updates tracked since 2018).

About Codman Square Health Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODMAN SQUARE HEALTH CENTER INC (NPI 1396808309) is a healthcare organization registered as a community health in Dorchester Center, Massachusetts and active in the NPI registry since December 2006. The organization maintains 2 additional practice locations and lists Guy Fish, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1396808309
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCODMAN SQUARE HEALTH CENTER INC
Location Address637 WASHINGTON STDorchester Center, MA 02124-3510
Mailing Address637 Washington StDorchester, MA 02124-3510 · (617) 825-9660 · Fax (617) 288-7898
Phone(617) 825-9660
Fax(617) 288-7898
Organization SubpartNo
Authorized OfficialGuy FishChief Executive Officer · (617) 825-9660
Enumeration DateDecember 19, 2006
Last NPPES UpdateMarch 26, 20264 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1396808309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
637 WASHINGTON ST, Dorchester Center, MA 02124
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19 Peacevale RdDorchester, MA 02124-4417 · Phone (617) 822-8744
Location 242 Highland AvenueRandolph, MA 02368-0000 · Phone (617) 825-9660

Other Identifiers 2

Medicaid110022129FMA
Medicaid1211757MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMY MIN HE MD
Family Medicine
637 WASHINGTON ST
BOSTON, MA 02124
Suffolk County (617) 825-9660
MIA ISABEL RODRIGUEZ DDS
Student in an Organized Health Care Education/Training Program
637 WASHINGTON ST
DORCHESTER, MA 02124
Suffolk County (617) 825-9660
DR. MARK CYPRIAN BEAUMONT MD
Family Medicine
637 WASHINGTON ST
DORCHESTER CENTER, MA 02124
Suffolk County (617) 825-9660
SHANNON LYONS RN, FNP
Nurse Practitioner (Family)
637 WASHINGTON ST
BOSTON, MA 02124
Suffolk County (617) 825-9660
MS. MARIE ANDREE PIERRE-VICTOR MSW, LICSW
Social Worker
637 WASHINGTON ST
DORCHESTER CENTER, MA 02124
Suffolk County (617) 822-8211
JENNIFER GARLIN LCSW
Social Worker
637 WASHINGTON ST
DORCHESTER CENTER, MA 02124
Suffolk County (617) 825-9660
MS. DENISE MARIE CROKEN NP
Nurse Practitioner (Family)
637 WASHINGTON ST
DORCHESTER, MA 02124
Suffolk County (617) 825-9660
BOSTON MEDICAL CENTER CORPORATION
Pharmacy (Community/Retail Pharmacy)
637 WASHINGTON ST
DORCHESTER, MA 02124
Suffolk County (617) 638-8150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Codman Square Health Center Inc's NPI number?

The NPI number for Codman Square Health Center Inc is 1396808309. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Codman Square Health Center Inc located?

Codman Square Health Center Inc is located at 637 Washington St, Dorchester Center, MA 02124. The listed phone number is (617) 825-9660.

What is Codman Square Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

What insurance does Codman Square Health Center Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Codman Square Health Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Codman Square Health Center Inc was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.